Organization
PMS WESTERN NM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY MICHELLE MARTINEZ (CASE MANAGER)
(505) 863-3828
Entity
Organization
Contact information
Practice address
2025 E AZTEC AVE, GALLUP, NM 87301-4803
(505) 863-3828
Mailing address
PO BOX 2499, GALLUP, NM 87305-2499
(505) 863-3828
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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